Adoption Breakdown in Spain: A Survival and Age-Related Analysis

2018 ◽  
Vol 29 (2) ◽  
pp. 176-184 ◽  
Author(s):  
Carmen Paniagua ◽  
Jesús Palacios ◽  
Jesús M. Jiménez-Morago ◽  
Francisco Rivera
Keyword(s):  
Cox Regression ◽  
Adoptive Parents ◽  
Older Children ◽  
Related Factors ◽  
Adoptive Family ◽  
Age Related ◽  
Special Relevance ◽  
Professional Intervention ◽  
Age At Placement

Purpose: The two goals of this article are the analysis of the duration of adoptive placements ending in breakdown and the role of age at placement in the breakdown experience. Method: All known cases of adoption breakdown during a whole decade in Andalusia, a Spanish region, were studied. Preadoption and formalized adoptions, domestic and intercountry adoptions were included. Data were analyzed using survival analysis, Cox regression, χ2, and rate ratio analyses. Results: The duration of adoptive placements ending in breakdown, significantly shorter in intercountry adoptions, is associated with a configuration of characteristics in the child, the adoptive parents and adoptive family life, and professional intervention. Among child-related factors, age at placement is of special relevance for the breakdown experience. Conclusions: Placements involving older children last less and break down more frequently, but are not condemned to failure. They need to be better supported with protective factors compensating the risks.

scholarly journals ‘The very first thing that connected us to him’: adopters’ experiences of sharing photographs, ‘talking’ albums and other materials with their children prior to meeting

2020 ◽  
Vol 44 (3) ◽  
pp. 225-241
Author(s):  
Jenny Blackmore ◽  
Gemma Burns ◽  
Cerith S Waters ◽  
Katherine H Shelton
Keyword(s):  
Thematic Analysis ◽  
Quantitative Data ◽  
Adoptive Parents ◽  
Grief And Loss ◽  
Adoptive Family ◽  
Early Indicator ◽  
Qualitative And Quantitative ◽  
Potential Impact ◽  
The Impact

Prospective adopters commonly share materials such as photographs of their family, ‘talking’ albums, DVDs, toys and blankets with their child prior to meeting them. This is often the first point of ‘introduction’ of the adoptive family to their child. The sharing of materials is also one of the earliest tasks in which foster carers and prospective adopters work together. This study investigates adopters’ experiences of sharing materials in the wider context of working with foster carers during these initial parent–child ‘introductions’. Thematic analysis of 24 interviews conducted with adoptive parents revealed three main themes: collaboration, familiarisation and connection. Further qualitative and quantitative data were subsequently gathered and analysed from surveys completed by 64 adoptive parents. Findings highlight the central role of the foster carer in preparing a child for a move to adoption, and the potential impact that the grief and loss experienced by a foster carer may have on this move. They also suggest that the sharing of materials could be an early indicator of a foster carer’s capacity to support a child’s transition to life with their adoptive family. Adopters’ perceptions of the impact of the materials, both at the time of introductions and their ongoing significance several years after placement, are explored.

scholarly journals EVALUACIÓN PSICOLÓGICA EN LA DECLARATORIA DE IDONEIDAD DE LAS FAMILIAS SOLICITANTES DE ADOPCIÓN

2018 ◽  
Vol 3 (5) ◽  
pp. 11
Author(s):  
Martín Augusto Valdivieso Cobeña ◽  
Viviana Septimia Gómez Mieles
Keyword(s):  
Clinical Psychology ◽  
Psychological Evaluation ◽  
Adoptive Parents ◽  
Adoption Process ◽  
Santo Domingo ◽  
Adoptive Families ◽  
Adoptive Family ◽  
Factores De Riesgo ◽  
Para Determinar

La evaluación psicológica en las familias solicitantes de adopción tiene como finalidad la elaboración del informe de idoneidad sobre sus motivaciones y aptitudes, su situación y su capacidad para convertirse en familias idóneas. El trabajo por parte de los profesionales en Psicología Clínica es evaluar a las familias para determinar su idoneidad y que estas asuman su rol de la adopción. A partir de estos requerimientos los futuros padres adoptivos tienen que enfrentarse a situaciones y tareas distintas de la paternidad biológica principalmente porque la vinculación en la familia adoptiva es diferente, al no producirse un embarazo, la preparación emocional para llevar a cabo el rol de la paternidad viene dada de forma repentina y se debe estar preparado para ser capaces de asumir el cambio. De ahí que el trabajo que se presenta tenga como objetivo proponer estrategias para realizar un proceso psicoterapéutico que oriente a las familias para lograr la declaratoria de idoneidad de las familias solicitantes de la adopción en la Coordinación zonal 4 Manabí, Santo Domingo de los Tsáchilas. En este sentido  se hace un análisis teórico acerca del proceso de adopción y la necesidad de realizar la evaluación psicológica a las familias que deben ser consideradas idóneas para la adopción. Otro de los aspectos más significativos es el análisis de los factores de riesgo y los factores protectores que debe tener en cuenta los especialistas en Psicología Clínica para la restitución de derechos de las niñas, niños y adolescentes. PALABRAS CLAVE: Prevención; adopción; psicología clínica; psicoterapia.  PSYCHOLOGICAL EVALUATION IN THE DECLARATION OF SUITABILITY OF APPLICANT FAMILIES ADOPTION ABSTRACT  The psychological evaluation in the adoptive families aims at the preparation of the report of suitability on their motivations and aptitudes, their situation and their capacity to become suitable families. The work of the professionals in Clinical Psychology is to evaluate the families to determine their suitability and that they assume their role of adoption. From these requirements the future adoptive parents have to face different situations and tasks of biological parenthood mainly because the attachment in the adoptive family is different, in the absence of pregnancy, the emotional preparation to carry out the role of parenthood Is given suddenly and one must be prepared to be able to take on the change. Hence, the objective of this study is to propose strategies to carry out a psychotherapeutic process that guides the families to achieve the declaration of suitability of families applying for adoption in the Zonal Coordination 4 Manabí, Santo Domingo de los Tsáchilas. In this sense a theoretical analysis is made about the adoption process and the need to carry out the psychological evaluation to the families that should be considered suitable for adoption. Another of the most significant aspects is the analysis of the risk factors and protective factors that should be taken into account by specialists in Clinical Psychology for the restitution of the rights of children and adolescents. KEYWORDS: Prevention; adoption; clinical psychology; psychotherapy.

scholarly journals Remarks on the Hormonal Background of the Male Equivalent of Polycystic Ovary Syndrome

2021 ◽  
Vol 122 (2) ◽  
pp. 73-79
Author(s):  
Luboslav Stárka ◽  
Michaela Dušková
Keyword(s):  
Polycystic Ovary ◽  
Clinical Manifestations ◽  
Glucose Metabolism Disorders ◽  
Androgenic Alopecia ◽  
Related Factors ◽  
Endocrine Disease ◽  
Endocrine Organ ◽  
Age Related ◽  
Derivatives Of

The hypothesis that the most common female endocrine disease, the polycystic ovarian syndrome (PCOS), has a male equivalent, has recently become more widely accepted. The male form of PCOS is marked by alterations in the secretion of gonadotropins, increased insulin resistance, and changes of the levels of several steroid hormones, with clinical manifestations including premature androgenic alopecia (AGA). Because these symptoms are not always found in men with genetic predispositions, knowledge of the male equivalent of PCOS needs to be supplemented by measurements of adrenal 11-oxygenated C19 steroids, particularly 11-keto-, and 11β-hydroxy-derivatives of testosterone and dihydrotestosterone, by focusing on the newly-realized role of skin as an endocrine organ, and by confirming any age-related factors in glucose metabolism disorders in such predisposed men.

scholarly journals Contributions of Age-Related and Audibility-Related Deficits to Aided Consonant Identification in Presbycusis: A Causal-Inference Analysis

2021 ◽  
Vol 13 ◽  
Author(s):  
Léo Varnet ◽  
Agnès C. Léger ◽  
Sophie Boucher ◽  
Crystel Bonnet ◽  
Christine Petit ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Causal Inference ◽  
Direct Effect ◽  
Speech Intelligibility ◽  
Methodological Issue ◽  
Related Factors ◽  
Age Related ◽  
The Impact ◽  
Effect Of Age

The decline of speech intelligibility in presbycusis can be regarded as resulting from the combined contribution of two main groups of factors: (1) audibility-related factors and (2) age-related factors. In particular, there is now an abundant scientific literature on the crucial role of suprathreshold auditory abilities and cognitive functions, which have been found to decline with age even in the absence of audiometric hearing loss. However, researchers investigating the direct effect of aging in presbycusis have to deal with the methodological issue that age and peripheral hearing loss covary to a large extent. In the present study, we analyzed a dataset of consonant-identification scores measured in quiet and in noise for a large cohort (n = 459, age = 42–92) of hearing-impaired (HI) and normal-hearing (NH) listeners. HI listeners were provided with a frequency-dependent amplification adjusted to their audiometric profile. Their scores in the two conditions were predicted from their pure-tone average (PTA) and age, as well as from their Extended Speech Intelligibility Index (ESII), a measure of the impact of audibility loss on speech intelligibility. We relied on a causal-inference approach combined with Bayesian modeling to disentangle the direct causal effects of age and audibility on intelligibility from the indirect effect of age on hearing loss. The analysis revealed that the direct effect of PTA on HI intelligibility scores was 5 times higher than the effect of age. This overwhelming effect of PTA was not due to a residual audibility loss despite amplification, as confirmed by a ESII-based model. More plausibly, the marginal role of age could be a consequence of the relatively little cognitively-demanding task used in this study. Furthermore, the amount of variance in intelligibility scores was smaller for NH than HI listeners, even after accounting for age and audibility, reflecting the presence of additional suprathreshold deficits in the latter group. Although the non-sense-syllable materials and the particular amplification settings used in this study potentially restrict the generalization of the findings, we think that these promising results call for a wider use of causal-inference analysis in audiology, e.g., as a way to disentangle the influence of the various cognitive factors and suprathreshold deficits associated to presbycusis.

scholarly journals The role of standardized instruments in identifying older adults with alcohol problems

2016 ◽  
Vol 29 (2) ◽  
pp. 351-352 ◽  
Author(s):  
Jürgen Rehm ◽  
Jakob Manthey
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Laboratory Tests ◽  
Alcohol Use Disorder ◽  
Alcohol Problems ◽  
Standardized Assessment ◽  
Related Factors ◽  
Comprehensive Review ◽  
Age Related

Taylor et al. (2014) raise an important issue concerning the detection of alcohol problems in older adults. The authors identify a number of age-related factors playing a role in the detection of alcohol problems, such as stigma, the concept of alcohol use disorder diagnoses and their standardized assessment, and drinking levels. They list a comprehensive review of tools for assessing alcohol problems among older adults, including laboratory tests, questionnaires, and interviews.

scholarly journals Age-associated determinants decompensation of the bladder in the conditions of prostate hyperplasia

2021 ◽  
Vol 14 (3) ◽  
pp. 40-48
Author(s):  
I.S. Shormanov ◽  
◽  
S.V. Kulikov ◽  
A.S. Soloviev ◽  
◽  
...  
Keyword(s):  
Related Factors ◽  
Biopsy Material ◽  
Prostate Hyperplasia ◽  
Infravesical Obstruction ◽  
Age Related ◽  
Compensatory Reserve ◽  
Chronic Urinary Retention ◽  
Detrusor Function

Introduction. In conditions of long-term infravesical obstruction caused by prostate hyperplasia (РН), 15-30% of patients eventually experience decompensation of detrusor function. At the same time, the details of the adaptive transformation of the vascular bed of the bladder, as well as its correlation with the structural remodeling of this organ, which determine the decompensation of the lower urinary tract in conditions of chronic urinary retention, are still unclear. Aim. To study the role of vascular and age-related factors in the depletion of the compensatory reserve of detrusor in long-term РН in elderly and senile people. Material and methods. Autopsy material from 25 men who did not have urological pathology, from 25 men who had РН without signs of decompensation of the bladder and biopsy material from 25 patients operated on for РН in the decompensation stage were examined. The age of all persons ranged from 60 to 80 years. Control – 10 men aged 20-30 years, who died as a result of injuries. Histological sections of the areas of the bladder were stained with hematoxylin-eosin, according to Mason and Hart. Results. In conditions of long-term РН, the functioning of a locally hypertrophic detrusor occurs against the background of age-related atrophic-sclerotic changes in it, the cause of which is: atherosclerosis of large arteries, as well as hyalinosis of small arteries and arterioles, characteristic of arterial hypertension. The «working capacity» of the bladder under these conditions is provided by the activity of regulatory muscle formations in the arterial and venous basins, with the help of which the necessary level of oxygenation is achieved. However, progressive age-related changes in the cardiovascular system over time lead to an increase in chronic ischemia. Sclerotic changes develop in the regulatory structures of the arteries and veins. As a result, there is a gross diffuse sclerosis of the detrusor with atrophy of the muscle fibers. Conclusions. Decompensation of detrusor in РН is a consequence of earlier vascular decompensation, the morphological markers of which are: arteriosclerosis, phlebosclerosis and sclerosis of regulatory structures.

Patterns of toxicities and outcome in children versus adolescents/young adults (AYA) with metastatic rhabdomyosarcoma (RMS): A report from the Children’s Oncology Group (COG) Soft Tissue Sarcoma Committee.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 10554-10554
Author(s):  
Abha A. Gupta ◽  
Elizabeth Lyden ◽  
James Robert Anderson ◽  
Carola A. S. Arndt ◽  
David Anthony Rodeberg ◽  
...  
Keyword(s):  
Metabolic Disturbances ◽  
Related Factors ◽  
Younger Patients ◽  
Exact Test ◽  
Age Cohorts ◽  
Time To Completion ◽  
Age Related ◽  
Prevalence Of Pain ◽  
Dose Modifications

10554 Background: Age at diagnosis is a prognostic factor in patients with RMS. We sought to determine whether AYA with metastatic alveolar (ARMS) or embryonal (ERMS) RMS had a different failure-free survival (FFS) compared to younger patients, and to identify treatment related factors that may be associated with outcome. Methods: COG ARST0431 patients were reviewed. The incidence of toxicities (AE, grade3/4 using CTCAEv3) by age was determined in 4 reporting periods (RP: wks 1-6; RP2:7-19; RP3: 20-34; RP4: 35-54). The AEs in younger patients (<=13 years) were compared with those in AYA. Fisher’s exact test was used to compare differences between the groups. Results: Of 109 patients, 60 (55%) were AYA. In RP1, they were more likely to have nausea/vomiting (4.1 vs. 16.9%, p=0.06), pain (6.1 vs. 20.3%, p=0.05), and metabolic disturbances (4.1 vs. 20.3%, p=0.02) compared to younger patients. In RP4, older patients trended to have less infection (15.8 vs. 30.1, p=0.07). All other toxicities were similar between the two age cohorts in the other RPs. AYA were less likely to complete therapy (52 vs. 73%, p=0.03) and more likely (in RP 4) to have unplanned dose modifications (outside of protocol guidelines) (23 vs. 2.7%). Of patients that completed therapy, there was no age-related difference in the time to completion. As shown in the table, younger patients had better 3-yr FFS, driven by a lower FFS for AYA with ARMS. Conclusions: This evaluation suggests that AYA with RMS were less likely to complete therapy and experienced a higher prevalence of pain and nausea compared to younger patients; the role of reporting bias and reasons for treatment discontinuation need further study. Children were more likely than AYA to have infection. Inferior FFS was only seen in AYA with ARMS suggesting a clear need for novel therapies for these patients. This study may be underpowered to demonstrate significant differences in other toxicities or in FFS among ERMS patients. [Table: see text]

scholarly journals Do age, fitness and concomitant medications influence management and outcomes of CLL patients treated with ibrutinib?

2021 ◽  
Author(s):  
Alessandra Tedeschi ◽  
Anna Maria Frustaci ◽  
Francesca Romana Mauro ◽  
Annalisa Chiarenza ◽  
Marta Coscia ◽  
...  
Keyword(s):  
Rating Scale ◽  
Cox Regression ◽  
Cox Regression Analysis ◽  
Age Related ◽  
Increased Risk ◽  
Severe Comorbidity ◽  
Cyp3a4 Inhibitors ◽  
Concomitant Medications ◽  
Ecog Ps

Functional reserve of organs and systems is known to be relevant in predicting immunochemotherapy tolerance. Age and comorbidities, assessed by the cumulative illness rating scale (CIRS), have been used to address chemotherapy intensity. In ibrutinib era it is still unclear whether age, CIRS and ECOG-PS retain their predictive role on treatment vulnerability. In this 712 CLL patients series treated with ibrutinib outside clinical trials, baseline ECOG-PS and neutropenia, resulted as the most accurate predictors of treatment feasibility and outcomes. Age did not independently influence survival and ibrutinib tolerance, indicating that not age per se, but age-related conditions may affect drug management. We confirmed the role of CIRS&gt;6 as a predictor of a poorer progression and event-free survival (PFS, EFS). The presence of a severe comorbidity was significantly associated with permanent dose reductions (PDR), not translating into worse outcomes. As expected, del(17p) and/or TP53mut and previous therapies affected PFS, EFS and overall survival. No study so far has analyzed the influence of concomitant medications and CYP3A-inhibitors with ibrutinib. In our series, these factors had no impact, though CYP3A4 inhibitors use correlated at Cox regression analysis, with an increased risk of PDR. Despite the limitation of its retrospective nature, this large study confirmed the role of ECOG-PS as the most accurate predictor of ibrutinib feasibility and outcomes and importantly neutropenia emerged as a relevant tool influencing patients vulnerability. Although CIRS&gt;6 retained a significant impact on PFS and EFS its value should be confirmed by prospective studies.

Age-related memory deficit: Role of study time and encoding strategies

2010 ◽  
Author(s):  
Charlotte Froger ◽  
Badiaa Bouazzaoui ◽  
Laurence Taconnat
Keyword(s):  
Memory Deficit ◽  
Study Time ◽  
Age Related ◽  
Encoding Strategies
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